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Int J Clin Pract. 2003 Jan-Feb;57(1):62-4.

Amphetamine-related acute myocardial infarction due to coronary artery spasm.

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Department of Medicine, Chang Gung Memorial Hospital, Keelung, Taiwan.


A 27-year-old man developed acute myocardial infarction after intravenous amphetamine use. A coronary angiogram showed plaques in the mid-portion of the left anterior descending artery which developed coronary artery spasm after administration of intracoronary ergonovine. The findings in this case suggest that these coronary artery plaques played a role in the endothelial dysfunction resulting from amphetamine use, and that induction of coronary arterial spasm was the likely mechanism of amphetamine-related acute myocardial infarction.

[Indexed for MEDLINE]

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